Skip directly to site content Skip directly to search


Español  Other Languages


Centers for Disease Control and Prevention. CDC twenty four seven. Saving Lives, Protecting People
 Search

		Submit


Smoking & Tobacco Use


Section Navigation
			
			CDC Home


Facebook
        Twitter
        LinkedIn
        Syndicate





Trends in Tobacco Use Among Youth										Related Pages
										Trend data for youth tobacco product use in the United States show the rates of use of these products and indicate the types of tobacco products that are becoming more popular among middle and high school students.
While tobacco product use among U.S. youth declined, continued efforts are needed to sustain this progress and to prevent and reduce all forms of their tobacco product use.Why are the 2021 NYTS estimates not included in these trends?Because of the implementation of COVID-19 protocols across the country when the 2021 NYTS was conducted, the survey was administered online to allow eligible students to complete the survey at home, school, or somewhere else.  The reporting of tobacco use might differ by survey completion setting and thus, the 2021 NYTS results described below cannot be directly compared with previous NYTS survey results that were primarily conducted on school campuses. As such, trends in tobacco use among youth do not include 2021.6Electronic cigarettes (E-cigarettes)After increasing between 2017 and 2019, current (past 30 day) use of e-cigarettes went down among middle and high school students from 2019 to 2020.1,2,3,4About 1 of every 20 middle school students (4.7%) reported in 2020 that they used e-cigarettes in the past 30 days—a decrease from 10.5% in 2019.3,4
About 1 of every 5 high school students (19.6%) reported in 2020 that they used electronic cigarettes in the past 30 days—a decrease from 27.5% in 2019.3,4CigarettesFrom 2011 to 2020, current (past 30 day) cigarette smoking went down among middle and high school students.1,2,3,4,5Nearly 2 of every 100 middle school students (1.6%) reported in 2020 that they smoked cigarettes in the past 30 days—a decrease from 4.3% in 2011.4,5
Nearly 5 of every 100 high school students (4.6%) reported in 2020 that they smoked cigarettes in the past 30 days—a decrease from 15.8% in 2011.4,5CigarsFrom 2011 to 2020, current use of cigars went down among middle school students and high school students.1,2,3,4,5Nearly 2 of every 100 middle school students (1.5%) reported in 2020 that they had used cigars in the past 30 days—a decrease from 3.5% in 2011.4,5
About 5 of every 100 high school students (5.0%) reported in 2020 that they had used cigars in the past 30 days—a decrease from 11.6% in 2011.4,5On This Page
			Electronic cigarettes (E-cigarettes)CigarettesCigarsSmokeless TobaccoHookahAll Tobacco Product Use*Many young people use two or more tobacco products**.
		
Why are the 2021 NYTS estimates not included in these trends?Because of the implementation of COVID-19 protocols across the country when the 2021 NYTS was conducted, the survey was administered online to allow eligible students to complete the survey at home, school, or somewhere else.  The reporting of tobacco use might differ by survey completion setting and thus, the 2021 NYTS results described below cannot be directly compared with previous NYTS survey results that were primarily conducted on school campuses. As such, trends in tobacco use among youth do not include 2021.6Smokeless TobaccoFrom 2011 to 2020, current use of smokeless tobacco went down among middle and high school students:1,2,3,4,5About 1 of every 100 middle school students (1.2%) reported in 2020 that they had used smokeless tobacco in the past 30 days—a decrease from 2.2% in 2011.4,5
About 3 of every 100 high school students (3.1%) reported in 2019 that they had used smokeless tobacco in the past 30 days—a decrease from 7.9% in 2011.4,5HookahFrom 2011 to 2020, current use of hookahs did not change much among middle school students. Current use of hookahs among high school students declined from 2011 to 2019, then saw no change from 2019 to 2020.1,2,3,4,5About 1 of every 100 middle school students (1.3%) reported in 2020 that they had smoked hookah in the past 30 days. The prevalence was 1.0% in 2011.4,5
Nearly 3 of every 100 high school students (2.7%) reported in 2020 that they had smoked hookah in the past 30 days. The prevalence was 4.1% in 2011.4,5All Tobacco Product Use*From 2019 to 2020, current use of any tobacco product went down among middle and high school students.3,4About 7 of every 100 middle school students (6.7%) reported in 2020 that they had used any tobacco product in the past 30 days—a decrease from 12.5% in 2019.3,4
About 23 of every 100 high school students (23.6%) reported in 2020 that they had used any tobacco product in the past 30 days—a decrease from 31.2% in 2019.3,4*In 2020, any tobacco product use was defined as current use of one or more of the following tobacco products on ≥1 day during the past 30 days: e-cigarettes, cigarettes, cigars, smokeless tobacco, hookahs, pipe tobacco, bidis, or heated tobacco products. In 2019, consistent with previously published estimates, any tobacco product use was defined as current use of one or more of the following tobacco products on ≥1 day during the past 30 days: e-cigarettes, cigarettes, cigars, smokeless tobacco, hookahs, pipe tobacco, or bidis. In 2020, inclusion of heated tobacco products did not significantly change overall estimates of any current tobacco product use among youths.Many young people use two or more tobacco products**.From 2019 to 2020, current use of two or more tobacco products went down among middle and high school students.3,4About 3 of every 100 middle school students (2.8%) reported in 2020 that they had used two or more tobacco products in the past 30 days—a decrease from 4.0% in 2019.3,4
About 8 of every 100 high school students (8.2%) reported in 2020 that they had used two or more tobacco products in the past 30 days—a decrease from 10.8% in 2019.3,4** In 2020, multiple tobacco product use was defined as current use of two or more of the following tobacco products on ≥1 day during the past 30 days: e-cigarettes, cigarettes, cigars, smokeless tobacco, hookahs, pipe tobacco, bidis, or heated tobacco products. In 2019, multiple tobacco product use was defined as current use of two or more of the following tobacco products on ≥1 day during the past 30 days: e-cigarettes, cigarettes, cigars, smokeless tobacco, hookahs, pipe tobacco, or bidis. In 2020, inclusion of heated tobacco products did not change overall estimates of multiple tobacco product use among youth significantly.Top of PageReferencesWang TW, Gentzke A, Sharapova S, Cullen KA, Ambrose BK, Jamal A. Tobacco Product Use Among Middle and High School Students – United States, 2011-2017. *MMWR Morb Mortal Wkly Rep.* 2018 Jun 8;67(22):629-633. DOI: http://dx.doi.org/10.15585/mmwr.mm6722a3.
Gentzke AS, Creamer M, Cullen KA, et al. Vital Signs: Tobacco Product Use Among Middle and High School Students – United States, 2011-2018. *MMWR Morb Mortal Wkly Rep.* 2019;68(6):157-164. Published 2019 Feb 15. DOI: http://dx.doi.org/10.15585/mmwr.mm6806e1.
Wang TW, Gentzke AS, Creamer MR, et al. Tobacco Product Use and Associated Factors Among Middle and High School Students — United States, 2019. *MMWR Surveill Summ* 2019;68(No. SS-12):1–22. DOI: http://dx.doi.org/10.15585/mmwr.ss6812a1.
Gentzke AS, Wang TW, Jamal A, et al. Tobacco Product Use Among Middle and High School Students — United States, 2020. *MMWR Morb Mortal Wkly Rep* 2020;69:1881–1888. DOI: http://dx.doi.org/10.15585/mmwr.mm6950a1.
Centers for Disease Control and Prevention (CDC). Tobacco product use among middle and high school students–United States, 2011 and 2012. *MMWR Morb Mortal Wkly Rep*. 2013; 62(45):893-7. Erratum in: *MMWR Morb Mortal Wkly Rep*. 2013; 62(46):940.
Gentzke AS, Wang TW, Cornelius M, Park-Lee E, Ren C, Sawdey MD, Cullen KA, Loretan C, Jamal A, Homa DM. Tobacco Product Use and Associated Factors Among Middle and High School Students – National Youth Tobacco Survey, United States, 2021. Morbidity and Mortality Weekly Report, 2022; 71(No. SS-5):1–29.
							
					
						Page last reviewed:  April 12, 2022					Content source: 	Office on Smoking and Health, National Center for Chronic Disease Prevention and Health Promotion homeHomeOffice on Smoking and Health (OSH)plus iconOSH Partners with StatesFunding Opportunity AnnouncementsInteragency Committee on Smoking and Healthplus iconMembership RosterNewsroomStay ConnectedOrganizationSmoking & Tobacco Use FeaturesQuit Smokingplus iconHow to Quitplus iconBenefits of QuittingBasic Informationplus iconHealth Effectsplus iconCancerHeart Disease and StrokeChronic Obstructive Pulmonary Disease (COPD)Smoking During PregnancyEquality in Smoking & Disease: Nobody Wins!Electronic Cigarettesplus iconAbout Electronic Cigarettes (E-Cigarettes)Quick Facts on the Risks of E-cigarettes for Kids, Teens, and Young AdultsEmpower Vape-Free Youth CampaignMenthol Tobacco Productsplus iconState Menthol Fact SheetsMenthol Tobacco Products are a Public Health ProblemMenthol Smoking and Related Health DisparitiesAddressing Menthol Tobacco ProductsHeated Tobacco ProductsYouth Tobacco PreventionCommercial Tobacco and Health Equityplus iconBlack and African American Peopleplus iconHealth BurdenUnfair and Unjust Practices and ConditionsSecondhand SmokeQuitting TobaccoAmerican Indian and Alaska Native Peopleplus iconHealth BurdenUnfair and Unjust Practices and ConditionsSecondhand SmokeQuitting TobaccoAsian, Native Hawaiian, and Pacific Islander Peopleplus iconHealth BurdenUnfair and Unjust Practices and ConditionsQuitting TobaccoHispanic and Latino Peopleplus iconHealth BurdenUnfair and Unjust Practices and ConditionsSecondhand SmokeQuitting TobaccoLGBTQ+ Peopleplus iconHealth BurdenUnfair and Unjust Practices and ConditionsQuitting TobaccoPeople Across Geographic Regionsplus iconHealth BurdenUnfair and Unjust Practices and ConditionsSecondhand SmokeQuitting TobaccoPeople with Behavioral Health Conditionsplus iconHealth BurdenUnfair and Unjust Practices and ConditionsCommercial Tobacco Product Use and Behavioral Health Conditions can Affect Each OtherQuitting TobaccoPeople with Low Socioeconomic Statusplus iconHealth BurdenUnfair and Unjust Practices and ConditionsSecondhand SmokeQuitting TobaccoSecondhand Smokeplus iconGeneral InformationTrends and DisparitiesHealth ProblemsSecondhand Smoke in the CommunitySecondhand Smoke in the HomeSmokefree PoliciesResourcesGoing Smokefree Mattersplus iconBars and RestaurantsCasinosIn Your HomeMultiunit HousingSurgeon General's Reports on Smoking and Tobacco Useplus icon2020 SGR—Smoking Cessation2016 SGR—E-Cigarette Use Among Youth and Young AdultsHistorical ReportsA Brief HistoryArchiveData and Statisticsplus iconFast Facts and Fact Sheetsplus icon**Smoking and Cigarettes**Diseases and DeathHealth Effects of Cigarette SmokingTobacco-Related MortalityCigarette Smoking in the U.S.Adult DataCessationCost and ExpendituresEconomics**Smokeless Tobacco**Health EffectsProducts and MarketingSmokeless Tobacco Product Use in the United States**Other Tobacco Products**CigarsHookahsLow Yield Cigarettes**Secondhand Smoke****Youth Tobacco Use**Youth DataSmoking in the MoviesTrends in Tobacco Use Among Youth**Tobacco Industry**Tobacco Brand PreferencesIndustry MarketingSurveysplus iconNational Youth Tobacco Survey (NYTS)Alaska Native Adult Tobacco Survey Guidance ManualAmerican Indian Adult Tobacco SurveyScientific Evidence BriefsSTATE SystemMorbidity and Mortality Weekly Reports (MMWR)Vital SignsPatient Careplus iconPatient Care Settings and Smoking Cessationplus iconCardiovascular Care SettingsRespiratory Care SettingsCancer Care SettingsMaternal and Infant Care SettingsClinical Interventions to Treat Tobacco Use and Dependence Among AdultsClinical Cessation ToolsPatient Cessation MaterialsQuitlines and Other Cessation Support ResourcesClinical Education and TrainingE-Cigarettes and Patient CareState and Community Workplus iconTobacco Control Programsplus iconCessation Materials for Tobacco Control ProgramsNetworking2Save: Co-op AgreementGuidelines and ResourcesProgram FundingEvidence Based Guides for StatesState Fact SheetsTobacco Ingredient and Nicotine ReportingTobacco Counter-Marketing CampaignGlobal Tobacco Controlplus iconAbout Global Tobacco Surveillance System (GTSS)GTSSDataThe Global Adult Tobacco Survey (GATS) AtlasHelp & Glossaryplus iconGlossaryData and DocumentationUsing the GTSSData HomepageUsing the GTSSData Explorer PageContact UsMultimedia & Toolsplus iconMedia Campaign Resource Center (MCRC)Publication Catalog To receive email updates about Smoking & Tobacco Use, enter your email address: Email Address			What's this				Submit
 Tips From Former
Smokers®
Division of Cancer
Prevention and Control
Lung Cancer
National Comprehensive
Cancer Control Program
Division of Reproductive
Health
 Facebook
Twitter
YouTube


About CDC
					Contact Us
					800-232-4636
 Facebook Twitter Instagram LinkedIn Youtube Pinterest Snapchat
 CONTACT CDC
				Contact Us
							Call 800-232-4636
							Email Us
			ABOUT CDC
				About CDC
							Jobs
							Funding
			POLICIES
				Accessibility
							External Links
							Privacy
							Policies
							No Fear Act
							FOIA
							OIG
							Nondiscrimination
							Vulnerability Disclosure Policy
			CONNECT WITH US
				Facebook
								Twitter
								Instagram
								LinkedIn
							Youtube
								Pinterest
								Snapchat
								Email
			LANGUAGES
				Español
							繁體中文
							Tiếng Việt
							한국어
							Tagalog
							Русский
							العربية
							Kreyòl Ayisyen
							Français
							Polski
							Português
							Italiano
							Deutsch
							日本語
							فارسی
							English


U.S. Department of Health & Human Services
			Accessibility
			External Links
			Privacy
			Policies
			No Fear Act
			FOIA
			Nondiscrimination
			OIG
			Vulnerability Disclosure Policy
			USA.gov


Exit Notification / Disclaimer Policy Close
 Links with this icon  indicate that you are leaving the CDC website. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website.
				Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website.
				You will be subject to the destination website's privacy policy when you follow the link.
				CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. Website Disclaimers
 Cancel Continue